Analyzing Twitter Data to Understand Stigmatization of Schizophrenia Before and After Elon Musk

Abstract

Stigmatization of mental health has become an increasingly prevalent issue in recent years, particularly on social media. The perpetuation of online stigma has significant negative impact on those with schizophrenia, affecting their social lives, self-esteem, ability to succeed in treatment, and more. One major factor that may affect stigmatization on social media is how content moderation is perceived by the users of the platform, as well as the social norms surrounding acceptable discussions on said platform. This relationship has not yet been examined in the context of schizophrenia stigma on Twitter. Elon Musk’s recent acquisition of Twitter has provided an opportunity to do just this, as his public statements and goals for the platform have suggested increased “freedom of speech” and decreased restrictions on content posted, changing how Twitter users perceive allowed conversations. The current study analyzed discussions of schizophrenia on Twitter before and after Elon Musk’s acquisition, coding individual Tweets based on the extent to which they indicated a stigmatizing attitude towards schizophrenia. Main findings include a marginally significant positive association between schizophrenia stigmatization and Musk’s acquisition of Twitter, with an increase in stigmatizing attitudes. Further, in agreement with previous literature on this topic, this study reveals that the stigma of schizophrenia is widespread on Twitter both prior and following Musk’s acquisition. The results of the study may be useful in guiding social networking companies and advocacy efforts to create programs or restrictions that counters stigmatization and further protects those with schizophrenia.